Active NPI
Abigail S Keller, AU.D.
- Audiologist
- Weymouth, MA
National Provider Identifier
1992995989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 868
- Practice address
- 541 Main St Ste 418
Weymouth, MA 02190-1845 - Phone
- (781) 337-6860
- Fax
- (781) 337-2103
- NPI assigned
- Jul 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 868 | MA | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 868 | MA |
Addresses
Primary practice location
541 Main St Ste 418
Weymouth, MA 02190-1845
Mailing address
541 Main St Ste 418
PO Box 134
Weymouth, MA 02190-1845
Phone (781) 337-6860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 868 | Other | MA | MA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
541 Main St
Suite 418
Weymouth, MA 02190-1845
Phone (781) 337-6860
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 868 | MA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Hearing Center, LLC | Audiologist | Current | Accepting new patients |
| South Shore Ear Nose and Throat P.C. | Past | Accepting new patients |
Locations
541 Main St
Ste 418
Weymouth, MA 02190
Phone (781) 337-6860
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiologist
- Weymouth, MA
- NPI 1255707501
-
- Otolaryngology Physician
- South Weymouth, MA
- NPI 1174807580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1992995989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 MAIN ST STE 418",
"address_2": "PO BOX 134",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021901845",
"telephone_number": "781-337-6860",
"fax_number": "781-337-2103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "541 MAIN ST STE 418",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021901845",
"telephone_number": "781-337-6860",
"fax_number": "781-337-2103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "ABIGAIL",
"middle_name": "S",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-26",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "868",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MA",
"license": "868",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA LICENSE",
"identifier": "868",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.